Angela Veronica Bellamy

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Whitakers, NC

NPI 1568038461 · NPPES record last updated Jun 1, 2021

Key facts

NPI
1568038461
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LCAS-27095 (NC)
Practice address
4260 Swift Creek School Rd
Whitakers, NC 27891-9435
Phone
(252) 406-5924
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCAS-27095NCMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-27095 NC Yes

Addresses

Primary practice location

4260 Swift Creek School Rd
Whitakers, NC 27891-9435

Mailing address

4260 Swift Creek School Rd
Whitakers, NC 27891-9435
Phone (252) 426-5924

Other providers in Whitakers, NC

All providers in Whitakers, NC · Addiction (Substance Use Disorder) Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.